ID | 61435 |
JaLCDOI | |
フルテキストURL | |
著者 |
Kubo, Yujiro
Department of Thoracic Surgery, Iwakuni Clinical Center
Watanabe, Mototsugu
Department of Thoracic Surgery, Iwakuni Clinical Center
Choshi, Haruki
Department of Thoracic Surgery, Iwakuni Clinical Center
Matsubara, Kei
Department of Thoracic Surgery, Iwakuni Clinical Center
Shiotani, Toshio
Department of Thoracic Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Kataoka, Kazuhiko
Department of Thoracic Surgery, Iwakuni Clinical Center
|
抄録 | Small pulmonary lesions are often difficult to localize during thoracoscopic surgery. We describe a new com-puted tomography (CT)-guided pleural dye-marking method for small peripheral pulmonary lesions that does not involve a visceral pleural puncture. We used this technique for 23 lesions (22 patients) who underwent tho-racoscopic partial lung resection (Nov. 2016-Jan. 2018). With the patient in the lateral decubitus position, pre-operative CT-guided marking on the skin over the lesion was performed. During the surgery, we marked the visceral pleura with a skin marker directly or with an infant-size nutrition catheter with crystal violet at the tip through a venous indwelling needle inserted perpendicular to the skin marking. We localized and resected the lesions in all cases, without complications. The median nodule size measured histopathologically was 8 (4-20) mm overall, and 7 (0-20) mm of the solid part; the median distance from the visceral pleura to the nodule was 9 (1-33) mm. The median operation time was 67 (37-180) min. The median postoperative hospital stay was 3 (3-11) days. Our CT-guided pleural dye-marking method is useful and safe for the localization of small periph-eral pulmonary lesions in thoracoscopic partial lung resections.
|
キーワード | Small pulmonary lesion
ground glass nodule
marking
localization
thoracocentesis
|
Amo Type | Original Article
|
出版物タイトル |
Acta Medica Okayama
|
発行日 | 2021-02
|
巻 | 75巻
|
号 | 1号
|
出版者 | Okayama University Medical School
|
開始ページ | 55
|
終了ページ | 61
|
ISSN | 0386-300X
|
NCID | AA00508441
|
資料タイプ |
学術雑誌論文
|
言語 |
英語
|
著作権者 | CopyrightⒸ 2021 by Okayama University Medical School
|
論文のバージョン | publisher
|
査読 |
有り
|
PubMed ID |